We typically see permanent follicle damage in clients when they are in their thirties and forties. However in very severe cases, this permanent damage can start to show in even early twenties. The client below is only 21 and has some areas of permanent damage. She started pulling her hair out when she was just 10 years old.
The Intralace System™ is an effective way for a client to disguise permanent damage from Trichotillomania, as it can be used for localized areas of hair loss and it also allows the client the freedom of having a full head of hair that can be treated just like their own and it is a superior option to a wig as it can be worn 24/7.